Description #
This is an Obstetrics and Gynecology unit.
Learning Objectives #
The Students should be able to:
Counsel patients on the various methods of contraception, including:
– Physiologic or pharmacologic basis of action
– Effectiveness
– Benefits and risks
– Financial considerations
Provide information needed to help the patient make informed decisions, including:
– Potential surgical complications
– Failure rates
– Reversibility
Contraception Options #
Selection of a contraceptive method must go beyond the issues of efficacy, safety and side effect profile.
Contraceptive options available:
- Permanent Contraception: Tubal ligation and Vasectomy
- Non-Permanent Contraception:
-Hormonal:
- Estrogen/progestin combinations: includes :OCP, Patch, Ring and Injectables
- Progestin only includes: Minipill, Injectables – Depo-Provera (IM and SC), Implants and Mirena IUD
-Non-hormonal
- IUDs include: Copper IUD and Mirena IUD
- Barriers: Male and Female Condoms, Diaphragm+ Spermicid
- Natural family planning
- Emergency Contraception:
Available emergency contraceptives include emergency contraceptive pills (ECPs) both with and without estrogen, and copper-bearing intrauterine devices.
“Morning After Pills” are two types: Progestin-only like Plan-B or Estrogen/Progesterone which is Yuzpe Method.
Each method has its individual efficacy, safety, and side effect profile. There is no single best contraceptive technique for all people under all circumstances. An IUD might not be suitable for a woman at one point and an excellent choice for the same woman at another stage in her life. So it is important for the physician to be skilled at counseling individuals in contraceptive techniques, to help them meet their contraceptive and non-contraceptive goals.